Provider Demographics
NPI:1841638939
Name:MOTILAL NEHRU, VIJEYALUXMY (MD)
Entity type:Individual
Prefix:DR
First Name:VIJEYALUXMY
Middle Name:
Last Name:MOTILAL NEHRU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E CHEVES ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2615
Mailing Address - Country:US
Mailing Address - Phone:317-270-8097
Mailing Address - Fax:
Practice Address - Street 1:401 E CHEVES ST STE 201
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2615
Practice Address - Country:US
Practice Address - Phone:843-777-7951
Practice Address - Fax:843-777-7981
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC84783207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine